Improving utilization and patient care. A rural hospital reduces length of stay through policy revisions and education.

M. A. Cwiek, H. Davis, C. Mortland

Research output: Contribution to journalArticlepeer-review

Abstract

In 1990 Saint Vincent Memorial Hospital, Taylorville, IL, intensified efforts to improve resource utilization. A program of daily case review and medical staff education has helped the hospital reduce average length of stay from between 7 and 8 days to between 5 and 6.8 days. Steps taken to achieve this include: Hiring an outside medical adviser to oversee collection and analysis of data related to length of stay and conduct case reviews Appointing a medical review officer and a physician-specific case manager Establishing a Utilization Management Task Force, which has reformed the policy concerning patients with methicillin-resistant Staphylococcus aureus to ensure discharge in a timely manner; implemented a nonacute-day reporting system; and completed a transitional care study to identify the benefits of transferring medically stable Medicare patients to the Skilled Nursing Facility.

Original languageEnglish
Pages (from-to)35-37, 56
JournalHealth progress (Saint Louis, Mo.)
Volume73
Issue number10
StatePublished - Dec 1992

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